[Mc Bride's operation with and without additional basic osteotomy of the 1st metatarsal]

Area of Science:

• Orthopedic Surgery
• Podiatric Medicine
• Surgical Outcomes Research

Background:

• Hallux valgus, a common foot deformity, often requires surgical intervention.
• The McBride procedure is a recognized surgical technique for Hallux valgus correction.
• Variations in surgical techniques may influence clinical and radiological outcomes.

Purpose of the Study:

• To compare the outcomes of the McBride procedure versus a combined McBride procedure and proximal first metatarsal osteotomy.
• To evaluate clinical, radiological, and patient-reported results for Hallux valgus treatment.

Main Methods:

• Retrospective study of 151 patients undergoing Hallux valgus surgery.
• Patients were divided into two groups: standard McBride procedure and combined McBride procedure with proximal first metatarsal osteotomy.
• Clinical and radiological assessments were performed, alongside patient estimations of outcome.

Main Results:

• The combined procedure group demonstrated significantly better clinical and radiological results.
• Despite objective improvements, patient satisfaction levels were comparable between the two groups.
• No significant difference in patient-perceived outcomes was noted.

Conclusions:

• Combining the McBride procedure with a proximal first metatarsal osteotomy is an effective enhancement for Hallux valgus correction.
• While objective measures favor the combined approach, patient-reported satisfaction may not differ substantially.
• Further research could explore long-term patient-reported outcomes and quality of life.